Characteristics of Australian after-hours emergency endoscopy services

Journal of Gastroenterology and Hepatology
Robert GibsonAnne E Duggan

Abstract

Early endoscopic intervention reduces morbidity and mortality for patients with high-risk gastrointestinal hemorrhage and gallstones causing pancreatitis or ascending cholangitis. For low-risk bleeds 'after-hours' endoscopy services allow risk stratification and early, safe discharge leading to reduced length of stay. Recognized standards for these services include availability of endoscopically trained medical and nursing staff, access to a specialized endoscopy unit and full availability of the service. The aim of the present study was to assess 'after-hours' endoscopy services at Australian teaching hospitals using the British Society of Gastroenterology (BSG) criteria. A standardized questionnaire based on the BSG guidelines was developed. The Gastroenterology Society of Australia provided a list of accredited sites for gastroenterology training. An advanced gastroenterology trainee at each hospital was interviewed by telephone. Thirty-four centers (100%) provided complete data. Gastroscopy, colonoscopy and endoscopic retrograde cholangiopancreatography were provided in 100, 58 and 84% of centers, respectively. The operation suite followed by endoscopy unit was the most frequently used site. However, one-third of centers pe...Continue Reading

References

Jun 11, 1992·The New England Journal of Medicine·E C LaiJ Wong
Apr 1, 1994·Digestive Diseases and Sciences·B KatschinskiM Langman

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Citations

Aug 25, 2007·Journal of Gastroenterology and Hepatology·Doug Taupin
Jan 30, 2015·Scandinavian Journal of Gastroenterology·Isabel Maria Teixeira de Carvalho PedrotoMário Dinis-Ribeiro

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